Pancho - AVI-WIL-96

Code: AVI-WIL-96
Mercy ID: V-00537-21
Encounter Date: 06/27/2001
Last: Aviles
First: William
DOB: 10/31/1996
County: Dekalb
Street: 4900 Central Dr. Apt. 159
City: Stone mountain
State: GA

Zip

30083-

Home

(770) 469-8194

Family Status

Attached youth

COB

Nicaragua

Gender

Male Child

Housing

Doubling Up

Education Level

Grade school

Home Owner

No

Parents Information

	Name	DOB	COB
Mother	Ninoska Vazquez	12/05/1974	Nicaragua
Father	Adolfo Aviles	N/A	Nicaragua
Step Parent	N/A	N/A	N/A

Driver: No
Relative: No
Stranger: No
Lives With: Mother
Name of School: Mother could not remember
Grade: 1st.
Who Can't Pickup the Child
Authoritation Parent: No
Authoritation Child: No
DOY PERMISO: No
Limitado Educativo: No
Limitado Impresos: No
Limitado Caminar Latino: No

Intake: K. Aleman
Data Entry: K. Aleman